These findings are repeated over and over in every single diabetic

forum on the internet. Yet Doctors are refusing to prescribe test strips

in what can only be regarded as a short-sighted and cost conscious

fashion. Whilst those who can afford it can purchase the test strips to

educate themselves, those who cannot are simply being denied a very simple

means of being in charge of their own health and preventing future

complications.

We used an identical treatment algorithm for dietary and

pharmacological management of glycaemia for both groups based on HbA1c

targets (figure 1)Go. Blood concentrations of HbA1c, lipids, and

electrolytes were measured at or before each clinic and results were

discussed with patients in the context of the treatment targets.

Measurement of HbA1c was performed in the local hospital laboratory with a

diabetes control and complications trial (DCCT) aligned HbA1c assay.2 All

laboratories participated in HbA1c external quality assurance, which was

satisfactory for the duration of the study. All other laboratory tests

were also performed in the local hospital laboratory, where staff were

blinded to treatment allocation.




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